Carol Woods
750 Weaver Dairy Road, Chapel Hill, NC 27514 · Orange County · 30 certified beds · avg 28 residents/day · certified since Jan 30, 1980
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 6, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jun 6, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 6, 2024 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jun 6, 2024 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jun 6, 2024 | B · Minimal risk, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 9, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Feb 9, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.32 | 4.01 | 3.95 | top 9% in North Carolina; top 9% in the U.S. |
| Registered Nurse hours | 1.94 | 0.64 | 0.69 | top 2% in North Carolina; top 2% in the U.S. |
| Weekend total nurse staffing | 4.80 | 3.56 | 3.50 | top 9% in North Carolina; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.50 | 0.41 | 0.48 | top 2% in North Carolina; top 2% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 49.0 | 45.8 | top 17% in North Carolina; top 24% in the U.S. |
| RN turnover (%) | 36.4 | 45.7 | 42.9 | top 34% in North Carolina; top 40% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.92, RN 1.79, weekend 4.44. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| The Chapel Hill Residential Retirement Center, INC. | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/12/1972 |
| Biesecker, Tracy | Individual | Corporate Officer | NOT APPLICABLE | 01/27/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Signature Healthcare of Chapel Hill | 2.2 mi | Chapel Hill, NC | ★★★☆☆ | 3/5 | |
| Parkview Health and Rehabilitation Center | 2.3 mi | Chapel Hill, NC | ★★★★★ | 5/5 | |
| Pruitthealth-Carolina Point | 3.2 mi | Durham, NC | ★☆☆☆☆ | 2/5 | |
| The Cedars of Chapel Hill | 4.2 mi | Chapel Hill, NC | ★★★★☆ | 5/5 | |
| The Forest at Duke INC | 5.2 mi | Durham, NC | ★★★★☆ | 5/5 | |
| Pruitthealth-Durham | 5.8 mi | Durham, NC | ★☆☆☆☆ | 1/5 | |
| University Health and Rehabilitation Center | 6.2 mi | Durham, NC | ★☆☆☆☆ | 1/5 | |
| Southpoint Rehabilitation and Healthcare Center | 6.9 mi | Durham, NC | ★☆☆☆☆ | 1/5 | abuse |
| Pettigrew Rehabilitation Center | 7.3 mi | Durham, NC | ★★★★☆ | 3/5 | |
| Hillcrest Convalescent Center | 7.4 mi | Durham, NC | ★★★★★ | 5/5 | |
| Croasdaile Village | 7.7 mi | Durham, NC | ★★★★☆ | 4/5 | |
| Peak Resources - Brookshire, INC | 7.9 mi | Hillsborough, NC | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345199.